Archivos de cardiologia de Mexico · 2010
[Complications of permanent pacemaker. Event operator dependent? Analysis of 743 consecutive patients].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Femenía Francisco J, Arce Mauricio, Peñafort Fernando, Arrieta Martín, Gutiérrez Daniel
Аннотация
UNLABELLED: The complications of permanent pacemaker implant, are found among 6%-9% of patients. Different factors are related.
OBJECTIVES: We evaluated the complications related with pacemaker implants and which are the independent risk factors associated with them.
METHODS: Descriptive analysis, type case-controls, retrospective and prospective, including 743 consecutive patients, between January 2007 and April 2008.
RESULTS: Age: 73.83 ± 12 years, 63.9% male. 43% of the patients had some degree of structural cardiopathy. There were no deaths related to pacemaker implants. Implant procedure-related complications were observed in 57 patients (7.67%), requiring a surgical intervention in 34 patients (4.57%). The most serious complications included one device-related infective endocarditis (0.13%), the entire device system was extracted, and one pneumothorax following subclavian vein puncture with insertion of a chest tube. In the multivariate analysis, low level of operator experience and preimplant heart failure were independent predictors for complications.
CONCLUSIONS: In this consecutive series of patients with permanent pacemaker implant, there was a low rate of complications, similar to the reported international series. A low level of operator experience and preimplant heart failure were related.
OBJECTIVES: We evaluated the complications related with pacemaker implants and which are the independent risk factors associated with them.
METHODS: Descriptive analysis, type case-controls, retrospective and prospective, including 743 consecutive patients, between January 2007 and April 2008.
RESULTS: Age: 73.83 ± 12 years, 63.9% male. 43% of the patients had some degree of structural cardiopathy. There were no deaths related to pacemaker implants. Implant procedure-related complications were observed in 57 patients (7.67%), requiring a surgical intervention in 34 patients (4.57%). The most serious complications included one device-related infective endocarditis (0.13%), the entire device system was extracted, and one pneumothorax following subclavian vein puncture with insertion of a chest tube. In the multivariate analysis, low level of operator experience and preimplant heart failure were independent predictors for complications.
CONCLUSIONS: In this consecutive series of patients with permanent pacemaker implant, there was a low rate of complications, similar to the reported international series. A low level of operator experience and preimplant heart failure were related.